We seek to determine whether we can reduce day 28 mortality in Zambian newborns by training traditional birth attendants a modified version of the neonatal resuscitation protocol (NRP) and by improving their abiltiy to identify sepsis and initiate antibiotics in the field.

training in neonatal resuscitation and sepsis identification early treatment

Active Comparator: control

TBAs continuing with current standard of practice

Other: Standard of care

continued with current standard of care for birth attendants

Detailed Description:

This is a cluster randomized trial of the impact of providing additional training and supplies to traditional birth attendants in a rural setting in Zambia. 120 TBAs are randomized into intervention/control. Intervention TBAs receive NRP training, supplies for neonatal resuscitation, receiving blankets for thermoregulation, and amoxicillin tablets. Control TBAs continue according to prior standard of care. Primary outcome is mortality at 28 days life as a proportion of births attended by TBAs in each study arm.

Eligibility

Genders Eligible for Study:

Both

Accepts Healthy Volunteers:

Yes

Criteria

Inclusion Criteria:

TBA trained in safe delivery;

willing to sign informed consent; willing to be randomized; willing to adhere to study procedures

Exclusion Criteria:

TBA living outside of Lufwanyama district

Contacts and Locations

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Please refer to this study by its ClinicalTrials.gov identifier: NCT00518856